Individual provider Active NPI

Karen Elizabeth Allen, O.D.

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1841228111
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6058TG Issued in TX
Practice address
3012 E Hebron Pkwy
Suite 100
Carrollton, TX 75010-4464
Phone
(972) 307-5000
Fax
(972) 307-7717
NPI assigned
Jun 28, 2006
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6058TG TX Primary

Addresses

Primary practice location

3012 E Hebron Pkwy
Suite 100
Carrollton, TX 75010-4464

Mailing address

630 Dumont Dr
Richardson, TX 75080-6101
Phone (972) 307-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000204 TX Practitioner - Optometry 1355384678 Practice locations: Addison, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16479 Dallas Pkwy
Suite 475
Addison, TX 75001-6825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6058TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey L Carter III MD PA PastSince Jan 19, 1994 Accepting new patients
Dr Karen E Allen, OD, Inc Optometrist PastSince Sep 10, 2013 Accepting new patients
DRS Ballard & Bourque Optometrist, P.C. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karen.allen@direct.revolutionehr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1841228111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 DUMONT DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806101",
            "telephone_number": "972-307-5000",
            "fax_number": "972-307-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104464",
            "telephone_number": "972-307-5000",
            "fax_number": "972-307-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6058TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.